1. Contact Information: 2. General Health Information: Do you have any medical conditions or injuries that may affect your treatment? If so, please specify. Are you currently taking any medications? If yes please list. Have you had any recent surgeries or medical procedures? If yes, please provide details? 3. Service Selection: Which service are you interested in? (Please select all that apply) Body SculptingMessage TherapyCorporate EventsSpa/Retreat Services 4. Message Preferences: If interested in message therapy, what type of massage are you interested in? (e.g., Swedish, deep tissue, aromatherapy, etc.) Swedishdeep tissuearomatherapy Do you have any specific areas of tension or pain that you would like the therapist to focus on? YesNo What pressure level do you prefer? LightMediumFirm Are there any specific techniques or modalities you prefer or dislike? YesNo 5. Body Sculpting Preferences (if applicable): Which body sculpting services are you interested in? Fat reduction treatments (e.g., cryolipolysis, laser lipolysis)Muscle toning treatments (e.g., EMS, radiofrequency)Cellulite reduction treatments Do you have any specific areas of concern you would like to address? YesNo 6. Corporate Events: How many participants are expected for the event? Do you have any specific preferences or themes for the event? YesNo Are there any logistical considerations we should be aware of for the event setup? YesNo 7. Spa/Retreat Services: Are you interested in individual spa treatments, group packages, or retreat-style experiences? YesNo What specific spa treatments are you interested in? facialsbody wrapsexfoliation Do you have any preferences for the ambiance or setup of the spa/retreat area? YesNo 8. Additional Information: Is there anything else you would like us to know or any special requests for your appointment/event? YesNo 9. How did you hear about our mobile massage service?
